| NPI | 1982955902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LOUISE MELSON CEO 404-284-6352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA 004455) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |